불법전용산지에 관한 임시특례법 홍보

불법전용산지에 관한 임시특례법 홍보 ❍ 시행기간 : 2017. 6. 3 ~ 2018. 6. 2(1년간) ❍ 신고대상 적법한 절차에 따르지 아니하고 산지관리법 제2조제1호에 따른 산지를 2016. 1. 21기준(2013. 1.23. 이전 개발된 산지)으로 3년이상 계속해서 전.답.과수원의 용도로 이용 또는 관리하는 임야 ❍ 대상용도 : 전, 답, 과수원만 해당 ❍ 신 청 자 : 신고하려는 산지의 소유자 (농지법 제50조에 따른 농지취득자격이 있는 자), 미상속인 경우 상속후 신청 ❍ 구비서류 (1) 불법산지전용 신고서 : 붙임 2 참조 (2) 측량성과도 (분할측량성과도 또는 등록전환성과도) (3) 신고대상 산지를 2016년 1월21일 기준으로 3년이상 계속 하여 전, 답, 과수원의 용도로 이용 또는 관리하고 있는 사실을 입증하기 위한 서류(공과금 영수증 또는 공문의 사본 등 해당서류가 있는 경우만 해당) (4) 산지이용확인서 (5년 이상 계속하여 거주하고 있는 자 중 토지소재지 이장 1명을 포함한 3명이상이 확인): 붙임 3 참조 (5) 토지이동 신청서 (6) 농지법 제50조에 따른 농지원부 등본 등 농지취득자격이 있는 자가 이용 또는 관리하고 있는 사실을 입증하기 위한 서류(농지원부, 농업경영체 등록서류) (7) 표고 및 평균경사도 조사서 (설계.측량업체 방문) ※ 우선적으로 확인하여야 함 (8)토지 국립공원 지역인 경우 사전 국립공원사무소와 협의 ❍ 제 외 산지관리법에 의해 시설물의 철거명령 또는 형질변경 된 산지의 복구명령을 받은 자가 아닐 것.<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td valign="top" style="padding: 1.41pt; border: currentColor; width: 477.51pt; height: 13.24pt;" colspan="23">■ 산지관리법 시행규칙 [별지 제50호서식] <개정 2017. 6. 2.></td></tr><tr><td valign="center" style="border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 477.51pt; height: 28.73pt;" colspan="23">불법전용산지 신고서</td></tr><tr><td valign="top" style="background: rgb(178, 178, 178); border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(127, 127, 127) currentColor; padding: 1.41pt 1.41pt 1.41pt 2.83pt; width: 117.14pt; height: 13.24pt;" colspan="6">접수번호</td><td valign="top" style="background: rgb(178, 178, 178); padding: 1.41pt 1.41pt 1.41pt 2.83pt; border: 0.28pt solid rgb(127, 127, 127); width: 117.11pt; height: 13.24pt;" colspan="2">접수일자</td><td valign="top" style="background: rgb(178, 178, 178); padding: 1.41pt 1.41pt 1.41pt 2.83pt; border: 0.28pt solid rgb(127, 127, 127); width: 117.16pt; height: 13.24pt;" colspan="8">처리일자</td><td valign="top" style="background: rgb(178, 178, 178); border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 1.41pt 1.41pt 1.41pt 2.83pt; width: 50.97pt; height: 13.24pt;" colspan="2"><p class="0" style="line-height: 120%; text-indent: -9.8pt; margin-top: 1pt; margin-left: 10.8pt; -ms-text-autospace:; mso-pagination: none; mso-padding-alt: 0.0pt 0.0pt 0.0pt 0.0pt; tab-stops: left blank 4.0pt;">처리기간 </td><td valign="center" style="background: rgb(178, 178, 178); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 75.13pt; height: 13.24pt;" colspan="5">30일</td></tr><tr><td valign="top" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0); padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 1.41pt;" colspan="23">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 2.83pt 2.83pt 1.41pt; width: 58.23pt; height: 48.38pt;" rowspan="3" colspan="4">신고인</td><td valign="top" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 261.35pt; height: 14.24pt;" colspan="8">성명</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 157.93pt; height: 14.24pt;" colspan="11">생년월일</td></tr><tr><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 261.35pt; height: 17.07pt;" colspan="8">주소</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 157.93pt; height: 17.07pt;" colspan="11">전화번호</td></tr><tr><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 419.28pt; height: 17.07pt;" colspan="19">해당 산지에 대한 권리관계</td></tr><tr><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 2.41pt;" colspan="23">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 1.41pt 5.1pt; width: 58.23pt; height: 32.84pt;" rowspan="2" colspan="4">산 지소유자</td><td valign="top" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 264.18pt; height: 15.6pt;" colspan="9">성명</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 155.1pt; height: 15.6pt;" colspan="10">생년월일</td></tr><tr><td valign="top" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt; width: 264.18pt; height: 17.24pt;" colspan="9">주소</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 155.1pt; height: 17.24pt;" colspan="10">전화번호</td></tr><tr><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 2.41pt;" colspan="23">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127) currentColor; padding: 1.41pt 5.1pt; width: 58.23pt; height: 82.38pt;" rowspan="5" colspan="4">신고대상산지내역</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 115.71pt; height: 38.28pt;" rowspan="2" colspan="3">소재지</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 64.78pt; height: 38.28pt;" rowspan="2" colspan="2">지번</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 50.51pt; height: 38.28pt;" rowspan="2" colspan="2">지목</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 115.92pt; height: 14.24pt;" colspan="8">면적(㎡)</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 72.36pt; height: 38.28pt;" rowspan="2" colspan="4">이용용도</td></tr><tr><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 54.15pt; height: 24.04pt;" colspan="3">지적</td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 61.77pt; height: 24.04pt;" colspan="5">형질변경면 적</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt; border: 0.28pt solid rgb(127, 127, 127); width: 115.71pt; height: 14.7pt;" colspan="3">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 64.78pt; height: 14.7pt;" colspan="2">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 50.51pt; height: 14.7pt;" colspan="2">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 54.15pt; height: 14.7pt;" colspan="3">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 61.77pt; height: 14.7pt;" colspan="5">   </td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 72.36pt; height: 14.7pt;" colspan="4">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt; border: 0.28pt solid rgb(127, 127, 127); width: 115.71pt; height: 14.7pt;" colspan="3">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 64.78pt; height: 14.7pt;" colspan="2">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 50.51pt; height: 14.7pt;" colspan="2">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 54.15pt; height: 14.7pt;" colspan="3">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 61.77pt; height: 14.7pt;" colspan="5">   </td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 72.36pt; height: 14.7pt;" colspan="4">   </td></tr><tr><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 115.71pt; height: 14.7pt;" colspan="3">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 64.78pt; height: 14.7pt;" colspan="2">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 50.51pt; height: 14.7pt;" colspan="2">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 54.15pt; height: 14.7pt;" colspan="3">   </td><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 61.77pt; height: 14.7pt;" colspan="5">   </td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 72.36pt; height: 14.7pt;" colspan="4">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 1.41pt 5.1pt; width: 58.23pt; height: 17.75pt;" colspan="4">이용기간</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 419.28pt; height: 17.75pt;" colspan="19">   </td></tr><tr><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; padding: 1.41pt 5.1pt; width: 477.51pt; height: 30.08pt;" colspan="23"> 법률 제14361호 산지관리법 일부개정법률 부칙 제3조에 따라 위와 같이 불법전용산지를 신고합니다.</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt; border: currentColor; width: 477.51pt; height: 16.07pt;" colspan="23"> 년 월 일장</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 267.35pt; height: 15.65pt;" colspan="10"> 신고인</td><td valign="bottom" style="padding: 1.41pt 1.42pt; border: currentColor; width: 210.16pt; height: 15.65pt;" colspan="13">(서명 또는 인)</td></tr><tr><td valign="bottom" style="border-width: medium medium 2.55pt; border-style: none none solid; border-color: currentColor currentColor rgb(93, 93, 93); padding: 2.83pt 5.1pt 1.41pt; width: 477.51pt; height: 27.18pt;" colspan="23"> 시장ㆍ군수ㆍ구청장 귀하</td></tr><tr><td valign="center" style="border-width: 2.55pt medium 0.28pt; border-style: solid none; border-color: rgb(93, 93, 93) currentColor rgb(127, 127, 127); padding: 0pt 0pt 1.41pt 1.41pt; width: 477.51pt; height: 10.78pt;" colspan="23">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(127, 127, 127) currentColor; padding: 1.41pt 2.83pt 1.41pt 5.1pt; width: 49.96pt; height: 176.14pt;" colspan="3">첨부서류</td><td valign="top" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(127, 127, 127) currentColor currentColor rgb(127, 127, 127); padding: 5.67pt 2.83pt; width: 427.55pt; height: 176.14pt;" colspan="20"> 1. 「공간정보의 구축 및 관리 등에 관한 법률」 제24조에 따른 지적측량수행자가 측량한 신고대상 산지의 분할측량성과도 또는 등록전환측량성과도 1부 2. 신고대상 산지를 2016년 1월 21일 기준으로 3년 이상 계속하여 전(田)ㆍ답(畓)ㆍ과수원의 용도로 이용 또는 관리하고 있는 사실을 입증하기 위한 서류(공과금 영수증 또는 공부의 사본 등 해당 서류가 있는 경우만 해당합니다) 3. 「산지관리법 시행규칙」 별지 제51호서식에 따른 산지이용확인서 1부(신고대상 산지의 소재지 리ㆍ동에 5년 이상 계속하여 거주하고 있는 자 중 통ㆍ반ㆍ리장 1명을 포함한 3명 이상이 확인하여야 합니다. 다만, 5년 이상 계속하여 거주하고 있는 통ㆍ반ㆍ리장이 없는 경우에는 신고대상 산지의 소재지 리ㆍ동에 5년 이상 거주하고 있는 자의 확인으로 갈음할 수 있습니다) 4. 「공간정보의 구축 및 관리 등에 관한 법률 시행규칙」 제80조에 따른 토지이동신청서 1부 5. 「농지법」 제50조에 따른 농지원부 등본 등 농지취득자격이 있는 자가 이용 또는 관리하고 있는 사실을 입증하기 위한 서류 6. 「산림자원의 조성 및 관리에 관한 법률 시행령」 제30조제1항에 따른 산림공학기술자 또는 「국가기술자격법」에 따른 산림기사ㆍ토목기사ㆍ측량 및 지형공간정보기사 이상의 자격증 소지자가 조사ㆍ작성한 표고 및 평균경사도조사서 1부</td></tr><tr><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(127, 127, 127) currentColor rgb(93, 93, 93); padding: 0pt 0pt 1.41pt 1.41pt; width: 477.51pt; height: 2.41pt;" colspan="23">   </td></tr><tr><td valign="center" style="background: rgb(178, 178, 178); border-width: 2.55pt medium 0.28pt; border-style: solid none; border-color: rgb(93, 93, 93) currentColor rgb(127, 127, 127); padding: 1.41pt 5.1pt; width: 477.51pt; height: 19.9pt;" colspan="23">처리절차</td></tr><tr><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(127, 127, 127) currentColor currentColor; padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 41.49pt;" colspan="23"><table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td valign="center" style="padding: 1.41pt; border: 0.28pt solid rgb(93, 93, 93); width: 36.88pt; height: 25.14pt;" rowspan="2">신고서</td><td valign="center" style="border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(0, 0, 0) rgb(93, 93, 93); padding: 1.41pt; width: 9.56pt; height: 11.27pt;">   </td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(93, 93, 93) currentColor currentColor; padding: 1.41pt; width: 12.47pt; height: 25.14pt;" rowspan="2">‣</td><td valign="center" style="padding: 1.41pt; border: 0.28pt solid rgb(93, 93, 93); width: 34.05pt; height: 25.14pt;" rowspan="2">접 수</td><td valign="center" style="border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(0, 0, 0) rgb(93, 93, 93); padding: 1.41pt; width: 11.31pt; height: 11.27pt;">   </td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(93, 93, 93) currentColor currentColor; padding: 1.41pt; width: 8.48pt; height: 25.14pt;" rowspan="2">‣</td><td valign="center" style="padding: 1.41pt; border: 0.28pt solid rgb(93, 93, 93); width: 57.18pt; height: 25.14pt;" rowspan="2">현지확인및 심사</td><td valign="center" style="border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(0, 0, 0) rgb(93, 93, 93); padding: 1.41pt; width: 8.48pt; height: 11.27pt;">   </td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(128, 128, 128) currentColor currentColor; padding: 1.41pt; width: 9.64pt; height: 25.14pt;" rowspan="2">‣</td><td valign="center" style="padding: 1.41pt; border: 0.28pt solid rgb(128, 128, 128); width: 35.28pt; height: 25.14pt;" rowspan="2">신고수리결정</td><td valign="center" style="border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(0, 0, 0) rgb(93, 93, 93); padding: 1.41pt; width: 9.81pt; height: 11.27pt;">   </td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(128, 128, 128) currentColor currentColor; padding: 1.41pt; width: 12.66pt; height: 25.14pt;" rowspan="2">‣</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(88, 89, 91) rgb(88, 89, 91) rgb(88, 89, 91) rgb(128, 128, 128); padding: 1.41pt; width: 91.22pt; height: 25.14pt;" rowspan="2"> 지적부서 통보   * 부적합시 신고서 반려</td><td valign="center" style="border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(0, 0, 0) rgb(88, 89, 91); padding: 1.41pt; width: 8.48pt; height: 11.27pt;">   </td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(88, 89, 91) currentColor currentColor; padding: 1.41pt; width: 11.31pt; height: 25.14pt;" rowspan="2">‣</td><td valign="center" style="padding: 1.41pt; border: 0.28pt solid rgb(88, 89, 91); width: 39.12pt; height: 25.14pt;" rowspan="2">지목변경</td><td valign="center" style="border-width: medium medium 0.28pt 0.28pt; border-style: none none solid solid; border-color: currentColor currentColor rgb(0, 0, 0) rgb(88, 89, 91); padding: 1.41pt; width: 19.8pt; height: 11.27pt;">   </td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(93, 93, 93) currentColor currentColor; padding: 1.41pt; width: 11.31pt; height: 25.14pt;" rowspan="2">‣</td><td valign="center" style="padding: 1.41pt; border: 0.28pt solid rgb(93, 93, 93); width: 39.19pt; height: 25.14pt;" rowspan="2">통지</td></tr><tr><td valign="center" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(0, 0, 0) currentColor currentColor rgb(93, 93, 93); padding: 1.41pt; width: 9.56pt; height: 13.87pt;">   </td><td valign="center" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(0, 0, 0) currentColor currentColor rgb(93, 93, 93); padding: 1.41pt; width: 11.31pt; height: 13.87pt;">   </td><td valign="center" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(0, 0, 0) currentColor currentColor rgb(93, 93, 93); padding: 1.41pt; width: 8.48pt; height: 13.87pt;">   </td><td valign="center" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(0, 0, 0) currentColor currentColor rgb(93, 93, 93); padding: 1.41pt; width: 9.81pt; height: 13.87pt;">   </td><td valign="center" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(0, 0, 0) currentColor currentColor rgb(88, 89, 91); padding: 1.41pt; width: 8.48pt; height: 13.87pt;">   </td><td valign="center" style="border-width: 0.28pt medium medium 0.28pt; border-style: solid none none solid; border-color: rgb(0, 0, 0) currentColor currentColor rgb(88, 89, 91); padding: 1.41pt; width: 19.8pt; height: 13.87pt;">   </td></tr></tbody></table>   </td></tr><tr><td valign="center" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 0pt 1.41pt; width: 7.47pt; height: 9.41pt;">   </td><td valign="top" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 5.1pt 1.41pt; width: 37.88pt; height: 9.41pt;">신고인</td><td valign="top" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 5.1pt 1.41pt; width: 15.65pt; height: 9.41pt;" colspan="3">   </td><td valign="top" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 5.1pt 1.41pt; width: 173.25pt; height: 9.41pt;" colspan="3">산림부서</td><td valign="top" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 5.1pt 1.41pt; width: 114.39pt; height: 9.41pt;" colspan="7">   </td><td valign="center" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 0pt 1.41pt; width: 8.31pt; height: 9.41pt;" colspan="2">   </td><td valign="top" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 5.1pt 1.41pt; width: 50.97pt; height: 9.41pt;" colspan="3">지적부서</td><td valign="center" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 0pt 1.41pt; width: 18.79pt; height: 9.41pt;">   </td><td valign="top" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 5.1pt 1.41pt; width: 46.18pt; height: 9.41pt;">신고인</td><td valign="center" style="background: rgb(255, 255, 255); border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(127, 127, 127); padding: 0pt 0pt 1.41pt; width: 4.62pt; height: 9.41pt;">   </td></tr><tr><td valign="bottom" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(127, 127, 127) currentColor currentColor; padding: 1.41pt; width: 477.51pt; height: 17.9pt;" colspan="23">210mm×297mm[백상지(80g/㎡) 또는 중질지(80g/㎡)]</td></tr></tbody></table>   <table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td valign="center" style="background: rgb(51, 102, 255); border-width: 0.28pt medium 1.7pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 65.08pt; height: 26.48pt;">붙임 3</td></tr></tbody></table><table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td valign="top" style="padding: 1.41pt; border: currentColor; width: 477.51pt; height: 22.69pt;" colspan="7">■ 산지관리법 시행규칙 [별지 제51호서식] <개정 2017. 6. 2.></td></tr><tr><td valign="center" style="border-width: medium medium 0.56pt; border-style: none none solid; border-color: currentColor currentColor rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 477.51pt; height: 31.33pt;" colspan="7">산지이용확인서</td></tr><tr><td valign="center" style="border-width: 0.56pt 0.28pt 0.56pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 2.83pt 2.83pt 1.41pt; width: 59.59pt; height: 53.58pt;" rowspan="3">산 지이용자</td><td valign="top" style="border-width: 0.56pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 270.38pt; height: 17.86pt;" colspan="4">성명</td><td valign="top" style="border-width: 0.56pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 147.54pt; height: 17.86pt;" colspan="2">생년월일</td></tr><tr><td valign="top" style="padding: 2.83pt 2.83pt 1.41pt; border: 0.28pt solid rgb(127, 127, 127); width: 270.38pt; height: 17.86pt;" colspan="4">주소</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 147.54pt; height: 17.86pt;" colspan="2">전화번호</td></tr><tr><td valign="top" style="border-width: 0.28pt medium 0.56pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt; width: 417.92pt; height: 17.86pt;" colspan="6">해당 산지에 대한 권리관계</td></tr><tr><td valign="center" style="border-width: 0.56pt medium 0.28pt; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 2.41pt;" colspan="7">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 1.41pt 5.1pt; width: 59.59pt; height: 52.83pt;" rowspan="3">산지의표 시</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.99pt; height: 17.61pt;" colspan="2">소재지</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 358.93pt; height: 17.61pt;" colspan="4">   </td></tr><tr><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 58.99pt; height: 17.61pt;" colspan="2">지 목</td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 211.39pt; height: 17.61pt;" colspan="2">   </td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 58.94pt; height: 17.61pt;">이용면적</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 5.67pt 2.83pt 1.41pt 5.67pt; width: 88.6pt; height: 17.61pt;">㎡</td></tr><tr><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.99pt; height: 17.61pt;" colspan="2">이용용도</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 211.39pt; height: 17.61pt;" colspan="2">   </td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.94pt; height: 17.61pt;">이용기간</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 88.6pt; height: 17.61pt;">   </td></tr><tr><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 2.41pt;" colspan="7">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 1.41pt 5.1pt; width: 59.59pt; height: 52.83pt;" rowspan="3">산지의표 시</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.99pt; height: 17.61pt;" colspan="2">소재지</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 358.93pt; height: 17.61pt;" colspan="4">   </td></tr><tr><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 58.99pt; height: 17.61pt;" colspan="2">지 목</td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 211.39pt; height: 17.61pt;" colspan="2">   </td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 58.94pt; height: 17.61pt;">이용면적</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 5.67pt 2.83pt 1.41pt 5.67pt; width: 88.6pt; height: 17.61pt;">㎡</td></tr><tr><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.99pt; height: 17.61pt;" colspan="2">이용용도</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 211.39pt; height: 17.61pt;" colspan="2">   </td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.94pt; height: 17.61pt;">이용기간</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 88.6pt; height: 17.61pt;">   </td></tr><tr><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; padding: 0pt 5.1pt 1.41pt; width: 477.51pt; height: 2.41pt;" colspan="7">   </td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt medium; border-style: solid solid solid none; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(0, 0, 0) currentColor; padding: 1.41pt 5.1pt; width: 59.59pt; height: 52.83pt;" rowspan="3">산지의표 시</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.99pt; height: 17.61pt;" colspan="2">소재지</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(0, 0, 0) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 358.93pt; height: 17.61pt;" colspan="4">   </td></tr><tr><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 58.99pt; height: 17.61pt;" colspan="2">지 목</td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 211.39pt; height: 17.61pt;" colspan="2">   </td><td valign="center" style="padding: 2.83pt 2.83pt 1.41pt 1.42pt; border: 0.28pt solid rgb(127, 127, 127); width: 58.94pt; height: 17.61pt;">이용면적</td><td valign="top" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(127, 127, 127) rgb(127, 127, 127); padding: 5.67pt 2.83pt 1.41pt 5.67pt; width: 88.6pt; height: 17.61pt;">㎡</td></tr><tr><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.99pt; height: 17.61pt;" colspan="2">이용용도</td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 211.39pt; height: 17.61pt;" colspan="2">   </td><td valign="center" style="border-width: 0.28pt; border-style: solid; border-color: rgb(127, 127, 127) rgb(127, 127, 127) rgb(0, 0, 0); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 58.94pt; height: 17.61pt;">이용기간</td><td valign="center" style="border-width: 0.28pt medium 0.28pt 0.28pt; border-style: solid none solid solid; border-color: rgb(127, 127, 127) currentColor rgb(0, 0, 0) rgb(127, 127, 127); padding: 2.83pt 2.83pt 1.41pt 1.42pt; width: 88.6pt; height: 17.61pt;">   </td></tr><tr><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; padding: 1.41pt 5.1pt; width: 477.51pt; height: 5.67pt;" colspan="7">   </td></tr><tr><td valign="top" style="padding: 2.83pt 5.1pt 1.41pt; border: currentColor; width: 477.51pt; height: 30.24pt;" colspan="7"> 법률 제14361호 산지관리법 일부개정법률 부칙 제3조 및 같은 법 시행규칙 부칙 제3조에 따라 위와 같이 불법전용산지를 이용 또는 관리하고 있음을 확인합니다.</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt; border: currentColor; width: 477.51pt; height: 16.07pt;" colspan="7"> 년 월 일장</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">확인자</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">성 명</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">(서명 또는 인)</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">생년월일</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">주 소</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 477.51pt; height: 4.82pt;" colspan="7">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">확인자</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">성 명</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">(서명 또는 인)</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">생년월일</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">주 소</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 477.51pt; height: 4.82pt;" colspan="7">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">확인자</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">성 명</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">(서명 또는 인)</td></tr><tr><td valign="center" style="padding: 1.41pt 5.1pt 1.41pt 2.83pt; border: currentColor; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 69.89pt; height: 21.34pt;">생년월일</td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="padding: 5.67pt; border: currentColor; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="center" style="border-width: medium medium 2.55pt; border-style: none none solid; border-color: currentColor currentColor rgb(153, 153, 153); padding: 1.41pt 5.1pt 1.41pt 2.83pt; width: 59.93pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="border-width: medium medium 2.55pt; border-style: none none solid; border-color: currentColor currentColor rgb(153, 153, 153); padding: 5.67pt; width: 58.65pt; height: 21.34pt;">   </td><td valign="center" style="border-width: medium medium 2.55pt; border-style: none none solid; border-color: currentColor currentColor rgb(153, 153, 153); padding: 5.67pt; width: 69.89pt; height: 21.34pt;">주 소</td><td valign="center" style="border-width: medium medium 2.55pt; border-style: none none solid; border-color: currentColor currentColor rgb(153, 153, 153); padding: 5.67pt; width: 200.44pt; height: 21.34pt;" colspan="2">   </td><td valign="center" style="border-width: medium medium 2.55pt; border-style: none none solid; border-color: currentColor currentColor rgb(153, 153, 153); padding: 5.67pt; width: 88.6pt; height: 21.34pt;">   </td></tr><tr><td valign="bottom" style="border-width: 2.55pt medium medium; border-style: solid none none; border-color: rgb(153, 153, 153) currentColor currentColor; padding: 1.41pt; width: 477.51pt; height: 12.24pt;" colspan="7">210mm×297mm[백상지 80g/㎡]</td></tr></tbody></table>     Memo